Individual provider Active NPI

Henrietta Li Friedman, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1982014577
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
63 018854 Issued in NY
Practice address
220 E 42ND St FL 8
New York, NY 10017-5832
Phone
(718) 887-1198
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 63 018854 NY Primary

Addresses

Primary practice location

220 E 42ND St FL 8
New York, NY 10017-5832

Mailing address

1671 Summerfield Street
PHD
Ridgewood, NY 11385-0952
Phone (718) 887-1198

Other practice location 1

21111 Northern Blvd Fl 2
Flushing, NY 11361-3241
Phone (718) 705-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729001674 NY Practitioner - Occupational Therapist in Private Practice 9234355165 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63 018854NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Adult Institute, Inc. CurrentSince Aug 5, 2015 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jun 11, 2014 Accepting new patients
Premier Healthcare, Inc. Current Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

21111 Northern Blvd
Fl 2
Flushing, NY 11361
Phone (718) 224-2094

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1982014577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 SUMMERFIELD STREET",
            "address_2": "PHD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113850952",
            "telephone_number": "718-887-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 42ND ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175832",
            "telephone_number": "718-887-1198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21111 Northern Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113613241",
            "country_code": "US",
            "telephone_number": "718-705-1059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "HENRIETTA",
        "middle_name": "LI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63 018854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.